Commissioning Integrated Care for Older People London 1 February 2005 Paul Forte, Richard Poxton Chris Foote, Tom Bowen, The Balance of Care Group. Workshop objectives. Integration of health, social care and other services for older people: a high priority - but not easy to achieve
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Commissioning Integrated Care for Older PeopleLondon1 February 2005Paul Forte, Richard PoxtonChris Foote, Tom Bowen,The Balance of Care Group
- sense of purpose
- identify need/ demand
Monitoring & evaluation
- service delivery
- client satisfaction
CROSS AGENCY COMMISSIONERS
For the older person, it is their involvement in their care such that they feel in control of a seamless and easily accessed service as it affects them.
That permits them to act responsibly both to themselves and their communities so that they feel valued and part of their community.
For the professional, it is working in a context of positive and supportive relationships, within and across boundaries, such that they can more easily provide an appropriate and timely service to their patients and colleagues.
For the commissioners integrating commissioning results in robust partnerships across agencies and communities that provide innovative, high quality care which is cost effective.
Central to this is balancing the needs of the individual to the needs of the population, supported by the commissioning of shared information, shared training and development and shared governance.
Source of referral
Reason for admission
Alternatives to admission to acute setting
Delays in planning
Delays in execution
Alternative locations for discharge
Delays in diagnosis
Alternative access for diagnosis
Delays in therapy
Alternative settings for therapy (especially rehab)
Avoidable eg. through chronic disease management
Alternative locations for readmission
Challenges for integrated care:
To assess the potential for alternative approaches to care delivery across the local health and social care economy through:
46%% Within AEP day of care criteria by specialty group(n = 316, acute only)
It’s crucial that there is common ground for care professionals and commissioners to drive these agendas
day care centre
day care centre